MEDCTR INC (NPI# 1245299973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245299973 |
Entity Type | Organization |
Organization Name | MEDCTR INC |
Practice Address |
465 N Belair Rd Suite 1a Evans GA 30809-3188 |
Practice Telephone | 7068542424 |
Practice Fax Number | 7068542425 |
Mailing Telephone | 7068542424 |
Mailing Fax Number | 7068542425 |
Enumeration Date | 2006-03-21 |
Last Update Date | 2012-05-04 |
Authorized Official Name | MR. KYLE PULLIAM (PRESIDENT/PHARMACIST) |
Authorized Official Telephone | 7068542424 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | PHRE008412 | GA | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932684032 | Medctr Inc | Pharmacy | 170 W.milledgeville Road, Harlem, GA 30814-5125 | 2018-09-25 |
Street Address |
465 N BELAIR RD SUITE 1A |
City | EVANS |
State | GA |
Zip Code | 30809-3188 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790784593 | Stephen Lewis Schmidt | Family Medicine | 465 N Belair Rd, Suite 1c, Evans, GA 30809-3188 | 2005-07-14 |
1689145781 | Ashli D Thomas | Internal Medicine | 465 N Belair Rd, Evans, GA 30809-3188 | 2018-12-16 |
1265885883 | Clint Lanier Holton | Nurse Practitioner | 465 N Belair Rd, Suite 1b, Evans, GA 30809-3188 | 2016-07-19 |
1033450820 | Kathryn Ricks Toburen | Nurse Practitioner | 465 N Belair Rd, Suite 1-b, Evans, GA 30809-3188 | 2013-03-05 |
1396010427 | Bethany Joy Rudge Gilley | Physician Assistant | 465 N Belair Rd, Suite 1 B, Evans, GA 30809-3188 | 2012-03-22 |
1386924157 | Katie Nelson, Lpc, LLC | Counselor | 465 N Belair Rd, Ste 2d, Evans, GA 30809-3188 | 2011-08-24 |
1154628451 | Wellpull Corporation of Evans | Durable Medical Equipment & Medical Supplies | 465 N Belair Rd, Suite 1a, Evans, GA 30809-3188 | 2011-02-22 |
1063669315 | Medequip Health Corp | Pharmacy | 465 N Belair Rd, 1a2, Evans, GA 30809-3188 | 2008-08-19 |
1023229887 | Margo Louise Henderson | Nurse Practitioner | 465 N Belair Rd, Ste 2b, Evans, GA 30809-3190 | 2007-05-24 |
1457565004 | Christopher Patrick Parker | Pharmacist | 465 N Belair Rd, Suite 1a, Evans, GA 30809-3188 | 2007-05-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
Find all providers in zip 30809 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376560615 | Wal-mart Stores East Lp | Pharmacy | 4469 Washington Rd, Evans, GA 30809-3807 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607662 | H & W Pharmacy | Pharmacy | 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 | 2020-10-23 |
1720603756 | Medical-pharmacy Associates of Georgia, LLC | Pharmacy | 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 | 2020-06-16 |
1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
1417598327 | Connect Care Pharmacy, LLC | Pharmacy | 2191 Hwy 247 Connector, Byron, GA 31008-5531 | 2019-10-02 |
1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.